# Persistent Intestinal Obstruction After Reduction of Incarcerated Inguinal Hernia: A Case of "Reduction en Masse"

## TL;DR

A rare case of persistent intestinal obstruction after hernia reduction highlights the importance of timely diagnosis to prevent life-threatening complications.

## Contribution

This case report adds to the understanding of 'reduction en masse' and its clinical implications.

## Key findings

- A 60-year-old woman experienced recurrent small bowel obstruction after hernia reduction.
- Diagnostic laparoscopy revealed a trapped bowel segment in the hernia sac.
- The case underscores the need for vigilance in diagnosing rare hernia complications.

## Abstract

"Reduction en masse" is a rare condition in which a hernia can be reduced to the abdomen, but the bowel remains trapped in the hernia sac. Although this is a rare condition, a delayed diagnosis can lead to serious and life-threatening consequences. In this case report, a 60-year-old woman presented with clinical symptoms of small bowel obstruction at the emergency department, who later developed recurrent symptoms of small bowel obstruction after seemingly successful reduction of a right-sided inguinal hernia. This led to diagnostic laparoscopy, where a small bowel segment trapped in a hernia sac was found.